SECRET
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FFICE OF
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PROGRAM SUBMISSION
FY 1976
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CONTENTS
Page
Tab
I.
Resource Packages:
No.
1
- Office of the Director
1
No.
2
- Support Division
7
No.
3
- Selection Processing Division
14
No.
4
- Clinical Division
20
No.
5
- Psychiatric Staff
26
No.
6
- Psychological Services Staff
32
No.
7
- Operations Division
40
No.
8
- Field Support Staff
45
Resource Package Summary (Exhibit D)
Resource Package Detail (Exhibit D1)
II. Interrelationships of the Resource
Packages
III. Relative Priority of the 10% Decremental
Changes
IV. Suggested Priority for Increases for
Unprogrammed Activities
V. Additional Resources Projected for
FY 76
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T Resource Packages
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Resource Package No. 1
requirements. Medical Systems Development Officer
Identification
Package Name Office of the Director
Directorate M&S Component OMS
Organizational Unit Office of the Director
.Purpose and Description of Activity
Development, direction and control of the Agency medical
program. In support of PL 79-658, PL 81-110,1 and
plans and develops OM.S ADP systems in coordination with the
OMS divisions and staffs and OJCS. Total for Resource
Package: 8 staff, $310,000.
The OMS behavioral and social sciences (BSS) effort is
also an activity of the O/D/MS. This seeks to place at the
disposal of Agency management the insights, skills and other
assistance available from the behavioral and social sciences.
($50,000).
OMS Development Complement and funding for External
Training is also part of the O/D/MS ($6,000).
Relevant Objectives (DCI and DD only) Funds
for FY 75/76
A5 7?01. Develop OMS systems for
costing methodology
applicable to users of
Oi?IS services
EXHIBIT Al
est) Man-Years Lest
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? Relevant Objectives (DCI and DD only) Funds (est) Man-Years (est
for FY 75 76
A67201 Have priority MAP systems
agreed to between OJCS
and OIS
B57201 Accept 4 to 6 requests for
.BSS assistance from
Agency components
B57204 Assure that present fluid
nature of behavioral
norms in society are
appropriately considered
in selection of new
employees
B57205 Arrange for CIA Management $20,000
Committee to examine
certain aspects of the
Agency's subculture
B57207 If appropriate, develop
plans for conversion to
the metric systems within
6 months of Congressional
enactment
*Development of costing methodology will be directed by the
O/DMS but it is not possible to estimate the man-years required
no funds other than certain fr actiunal staff salaries' will be
required. Costs for the several BSS objectives will primarily
involve the services (and travel) of Independent Contractor
Consultants. Plans for conversion to metric system would be
developed by O/DMS; fractional man-years required impossible
to determine at this time.
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Outputs & Customers/Recipients
. Outputs are planning and management services. Recipients,
through the Agency medical program, are Agency personnel in
general, certain dependents, and, through various OMS specialized
activities, certain elements of the Intelligence Community and
the Executive Branch.
Output of the OMS BSS effort is professional assistance
to Agency managers, on request, in various personnel./managerial
areas where BSS insights and skills might be helpful.
These activities are not readily susceptible to productivity
measurement.
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Exhibit CI
Resource Package Name Office of the Director
Reasons for Significant Changes in Resource Levels
A. FY 75 compared with FY 74:
Planned continuing development of the BSS program
requires additional fees ($7,000) and additional travel
($8,000) for consultants.
B. FY 76 compared with FY 75:
None.
Reprogramming of FY 75 Congressional Budget
Consequences of 10% Reduction in Resources Requested for FY 75
A. Ceiling
Reduction of one (1) position would mean the elimina-
tion of the position of Special, Assistant to the Director
of Medical Services (Pos. No. 0177, GS-13). This would
raise the serious question, which we are presently unable
to answer, as to who would perform the voluminous medical
chart screening duties now performed by SA/DMS. These
screenings are in excess of 3,000 charts annually and
E "
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E
involve such significant matters as key assignments, White
House and NSC details, and Congressional and Special Interest
cases. SA/DMS is the OMS Statistician and coordinates OILS
activities relating to Personnel Evaluation Boards, CIA
Retirement Boards, etc. It would seem therefore that if
his position were eliminated a host of medical administrative
duties would inevitably devolve on the D/HIS and the DD/MS,
with a resulting compromise of the effort these two professionals
now devote to the professional aspects of directing the
Agency medical program.
B. Funds :
$34,000 reduction would be accounted for as follows:
GS-13 (cf par A above)
$28,000
BSS activity
6,000
$34,000
Impact of reduction of $6,000 in the BSS activity
would mean that this activity would not become fully
operational in FY 75.
Consequences of 10% Reduction in Resources Requested for FY 76
Essentially the same as such a reduction for FY 75: the
SA/DMS would be eliminated and the $36,000 funds reduction
would be accounted for by this and by a reduction of $8,000
in the BSS activity. Impact of this latter would be that the
BSS would not be maintained at the fully operational pace
planned for FY 75.
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Resource Package No. 2
Identification
Package Name Support Division
Directorate M&S Component OMS
Organizational Unit Support Division
Purpose and Description of Activity
Overall mission of the Support Division (SD).is to provide
administrative, finance, logistical and services support to the
OMS. This includes the following activities:
Direction
Registrar Activity
Services Activity
Personnel Activity
Supply Activity
TOTAL
. and contract)
fan-year (staff
Relevant Objectives (DCI & DD Only) for FY 75/76
Outputs _.& Customers/Recipients
Registrar activity enables the Agency to meet a statutory
requirement for the maintenance of employee health records
and provides administrative support to OMS professional
elements in the various medical processing activities.
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Services activity provides all non-professional services
for the OMS. Preparation of the OMS budget and direction of
all OMS fiscal matters are also functions of this activity.
Personnel activity directs the Agency medical recruit-
ment effort and administers the assignment and reassignment of
all SD:MM personnel.
Supply activity provides medical logistical support to
all Agency elements and technical guidance to the''Office of
Logistics.
Certain Registrar activities in support of the MPT/PHE
Program may be susceptible to productivity measurement.. These
will be considered in FY 1975 along with the MPT/PHE Program.
CR
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Division
Reasons for Significant Changes in Resource Levels
A. FY 75 compared with FY 74
$15,000
expenditure
$13,000
ment of the
$15,500
15,500
11,500
$27,000
Rental of Xerox machine (replaces
2 obsolete copying machines) 3,000
TOTAL INCREASE:
3 Contract Employees and $30,000
DECREASE:
The $13,000 for IPS equipment for FY 75 is a
non-recurring item.
Reprogramming of FY Congressional Budget
None
Consequences of 10% Reduction in Resources Requested for FY 75
A. Ceiling
B. FY 76 compared with FY 75
Increase:
3 contract employees:
Restoration of 2 employees
for MPT/PHE/IPS support
1 'Contract employee for MEDSIGN
support, GS-07
decrease; In FY 74 there was a non-recurring
for the expansion of the OMS Medical Chartroom.
increase for equipment for the planned develop-
OI\1S Information Processing System (IPS).
decrease because of reduction in FY 75 contract
ceiling: 2 clerical positions in Registrar in support of
the MPT/PHE/IPS effort.
TOTAL DECREASE: $17,500
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Reduction of one (1) position (Records Clerk, GS-04) in
the Registrar would leave this vital activity without a
Records Clerk at a time when a second Records Clerk has been
recommended for the Registrar by records authorities. A
redistribution of duties, presently undetermined, would be
necessary.
B. Funds
$28,000 reduction would be accounted for as follows:
Records Clerk, GS-04 (cf par A above) $ 8,000
Medical Records System Contract
Cancellation 20,000
$28,000
The cancellation of thel vould preclude 25X1A
further development of the OMS IPS which in turn involves
the MEDSIGN and CLINSTAT programs.
Consequences of 10% Reduction in Resources for FY 75
Essentially the same as such a reduction for FY 75 with
an additional $1,000 (for FY 76) being reduced from certain
contractual services agreements.
Advantages of Increasing Resources for FY 75
It would clearly be advantageous if the two contract
employees originally planned for the SD for the continued develop-
ment of the OMS IPS were made available. The non-availability
of these two positions (because of the reduction of OMS contract
ceiling in FY 75 to
FY 74 authorization
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that the IPS will not develop at the planned pace. This in turn
will mean a slower development of the OMS input to the MEDSIGN
pro ect a art of ~
7 ( P the MAP) and delayed development of
r the
CLINSTAT project (OMS internal clinical processing support).
The two positions required and therefore requested as a worth-
while activity are:
1 Contract employee (Clerk). GS-04
$ 7,750
1 Contract employee (Key Punch
Operator), GS-04
7,750
TOTALS: 2 Contract employees and
$15,500
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Exhibit A.,
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Resource Package No. 3
Fdentification
Package Name Selection Processing Division
Directorate M&S Component OMS
Organizational Unit Selection Processing Division
Purpose and Description of Activity
Overall mission of the Selection Processing Division (SPD)
is to establish and maintain an initial medical selection program
and a dependent medical program for the Agency. This includes
the following activities:
Direction
Clinical Activities
Psychiatric Screening
Activities
Relevant Objectives (DCI and DD Only) for FY 75/76
None
Outputs & Customers/Reci Tents
Outputs are services such as the following:
Initial medical evaluations (pre-employment or EOD) for
Agency employees
Medical evaluations and imm,nizations for dependents
accompanying employees on overseas assignment and return
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Sick call and emergency medical treatment for employees
in the Rosslyn area
Conduct of the MPT/PHE and Annual/Executive examinations
for employees in the Rosslyn area
Certain SPD activities, such as its role in the MPT/PHE
program, are susceptible to productivity measurement and will
be studied as part of the general productivity evaluation of
this program in FY 75.
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Resource Package Name Selection Processing Division
Reasons for Significant Changes in Resource Levels
A. FY 75 compared with FY 74
None
B. FY 76 compared with FY 75
A $7,000 increase is projected to provide rental
equipment and specialist services to permit the introduction
of Xerography as a routine diagnostic procedure in SPD
screening of all females, including dependents. This is
a valuable technique used in leading medical centers for
the early detection of cancer and other diseases. It is
well worth the modest monetary outlay involved.
$4,600 is;~also required in FY 76 for normal increases in IVAE
and consultant fees.
Reprogramming of FY 75 Congressional Budget
Consequences of 10% Reduction in Resources Requested for FY 75
A. Ceiling
One (1) position deletion necessary in such a reduction
would be Secretary-Steno, GS-06 (Pos. No. 0095) in the Psychia-
tric Screening Branch. This branch is authorized only one such
individt.:a1. and could not function without this position. A major
redistribution of duties would therefore be necessary. We are not
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r edis Lribution. SPD has
in the last 4 years suffered the. loss of 5 positions. Its
current bare-bones status is reflected in now having only one
(1) staff medical technician assigned, and each time this tech-
nician is absent, it is necessary to borrow a technician from
elsewhere to keep the selection activity going. This is already
a precarious situation for a .division that was called upon to
perform 3,775 physical examinations in FY 73.
B. Funds
$30,000 reduction would be accounted for as
follows:
1 Position (cf Par A above)
$ 9"000
WAE and Consultant Fees
21,000
$30,000
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Reduction of the WAE and consultant fees would mean less
frequent consultant referrals for employees and dependents,: with
an inevitable slowing of the selection process and perhaps the
non-approval medically of certain individuals where consultation
might have resolved the matter satisfactorily.
Consequences of 10% Reduction in Resources Requested for FY 76
$34,000 reduction impact would be essentially the same as
such a reduction in FY 75 with the additional $4,000 (for FY
76) being further reduction in WAE and consultant fees, and
greater strain on the clinical integrity of the selection
process.
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Advantages of Increasing Resources for FY 75
It would be worthwhile to advance to FY 75 the $7,000
- or Xero ra~phy programmed for FY 76. If Xerography in FY
75 detected only one case of early disease the modest invest-
ment would have been worthwhile.
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4.
Resource Package No.'4
Identification
Package Name Clinical Division
Directorate M&S Component OMS
Organizational Unit Clinical Division
Purpose and Description of Activity
Overall mission of the Clinical Division(CD) is to
establish and maintain a preventive health program for the.
Agency. This includes the following activities:
Health Services
Diagnostic Activities
Immunization
~an-years (staff
ntract)
Relevant Objectives (DCI and DD only) Funds (est) Man-Years (est)
for FY 75/76
B57202 Perform 2,000 MPT/PHE $52,000 3.6
screenings (increase from
1,500 in FY 74) and evaluate
results
25X9
B57206 Perform at least 1,000 $41,000 2.2
Annual/Executive
Physical Examinations
and reconcile this account-
ing with the MPT/PHE
Program
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Outputs Customers/Recipients
Outputs are services such as the following for Agency
employees:
Medical evaluations
Diagnostic studies
Immunization and prophylaxis
Occupational health
Emergency medical treatment
Consultative services
Advisory assistance in medical intelligence production,
Certain CD activities are susceptible to productivity
measurement. It is planned that the MPT/PHE Program will
be subjected to this starting in FY 75.
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Resource Package Name Clinical Division
Reasons for Significant Chaii es in Resource Levels
A. FY 75 compared with FY 74:
Planned continuing development of.the MPT/PHE
Program, increased fee rates for WAE and Consultants,
and increases in Covert Examinations require. the following
additional resources:
Medical supplies and equipment $25,000
WAE and Consultant rate increases 7,500
Covert Examinations 9,000
TOTAL INCREASE: $41,500
B. FY 76 compared with FY 75:
$15,000 decrease for non-recurring purchase of X-ray
equipment in FY 75.
$7,500 increase required for normal increases in WAE
and Consultant fees.
Reprogramming of FY 75 Congressional Budget
None.
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cons equences of 10o Reduction in Resources Requested for FY 75
A. Ceiling
Reduction of two (2) positions would mean the elimination
of the position of a Medical Officer (Pos. No. 0110) and a
Secretary (Pos. No. 0163). The impact of this loss would
bear on all Clinical Division functions but specifically
on Direction and Diagnostic Activities. This would require
the elimination of certain less essential clinical activities
such as the Annual/Executive Examination Program. An in-
evitable decrease in professional support to the new
Multiphasic Testing/Periodic Health Examination Program
would have an effect on our ability to attain one of our
major objectives. Finally, it would place undue stress
on the remaining CD sources in the effort to provide high
quality clinical medical services to all Agency components
and personnel.
B.
Funds
$63,000 reduction would be accounted for as follows:
2 Positions (cf par A above)
$43,000
WAE and Consultant Fees
20,000
$63,000
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Consequences of 10% Reduction in Resources Requested for FY 76
$67,000 reduction impact would be. essentially the same as
such a reduction in FY 75 with an additional $4,000 (for FY 76)
being reduced from WAE and Consultant expenditures as the
clinical activities mentioned above were further curtailed.
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Resource Package No. 5
Identification
Package Name Psychiatric Staff
Directorate MFRS Component OMS
Organization Unit Psychiatric Staff
Purpose and Description of Activity
Overall mission of the Psychiatric Staff (PS) is to establish
and -maintain a psychiatric program for the Agency. This
includes the following activities:
Direction an-years (staff and
tract)
Clinical Activities
Research.
Clinical activities involve preventive, diagnostic and
consultation services for employees.
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Research is of the special limited type designed to keep
the Agency psychiatric program current, especially in selection
techniques.
Relevant Objectives (DCI E DD only) for FY 75/76
Outputs & Customers/Recipients
Psychiatric evaluations for Agency employees to assure emo-
tional suitability
Diagnostic and consultative psychiatric services for Agency
employees
This activity is not readilysusceptible to productivity measure-
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Resource Package Name Psychiatric Staff
Reasons for Significant Changes in Resource Level
A. FY 75 compared with FY 74
None
B. FY 76 compared with FY 75
Increases:
1 Staff Analyst, GS-09 $14,000
1 Contract Analyst, GS-09 14,000
1 Staff and 1 Contract
Position and $28,000
Both of these are required in Sp 9tial Activities of PS to
permit the proper. development of PS/OMS support to OSI.in the
preparation of studies for publication,
The Contract Analyst was approved
for PS for FY 75 in the original Congressional Budget but was
deleted when the OMS contract ceiling for FY 75 was reduced; this
contract position is still required and is accordingly requested
for FY 76.
$1,800 is also required in FY 76 for normal increases
in WWAE and Consultant fees.
Total increases are therefore:
1 Staff, 1 Contract Position and $29,800
Reprogramming of FY 75 Congressional Budget
None
Consequences of 10% Reduction in Resources Requested for 1Y 75
A. Ceiling
Reduction of one (1) position would mean the elimination
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of the Clinical Psychologist (Pos. No. 0080, GS-15). This
Is a position that was established in. 1952. and from which the
Agency's psychiatric screening methods emanated. The original
incumbent is still in this position and represents our best
potential for continued development of our selection mechanisms
for the future. Incumbent also regularly provides psychological
testing assistance to the PS psychiatrists and consultants. Elimina-
tion of this position would thus for several reasons mean the
loss of a basic modality in our Psychiatric Program.
B. Funds
The above position would account for the necessary
funds reduction. ($35,000).
Consequences of 10% Reduction in Resources Requested for FY. 76
A. Ceiling
The new Staff Analyst, GS-09, position programmed for
Special Activities for FY 76 would be deleted. This would delay
the planned development for PS/OMS efforts in various studies
as mentioned above.
B..
Funds
$35,000 reduction would be accounted for as follows:
1 Staff Position (cf par A above)
$14,000
ItiAE and Consultant Fees
21,000
$35,000
25X9
Reduction of $21,000 in WAE and Consultant Fees would
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impact on all PS activities
as it would be necessary to curtail the present scope of the
efforts in various special studies as well as postpone the
planned expansion of these efforts.
Advantages of Increasing Resources for FY 75
It would be worthwhile if the Contract :Analyst, GS-09
($13,000) position originally approved in the FY 75 Con-
gressional Budget (but deleted when the OMS contract ceiling
was reduced) were restored for FY 75.
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RESOURCE PACKAGE No. 6
T.7.,nnt4 fiction
Package Name Psychological Services Staff
Directorate M&S Component OMS
Organizational Unit Psychological Services Staff
Purpose and Description of Activity
Overall mission of the Psychological Services Staff (PSS)
is to establish and maintain a program of psychological support
services for the Agency. This includes the following activities:
Direction an-years (staff/contract)
Assessment Activities
Testing Activities I I 25X9
Special Activities
Research
TOTALS
PSS provides, for all components of the Agency, a program
of assessment, testing, counseling, consulting, and research
services in the area of human behavior, having as its primary
objective the improvement of the Agency's utilization of
human resources.
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DD On... I for FY 75/76
ip-RDp 78- 534 A00010Q 1 0
ltznct:`......e..st ~~a-`rs (est)
B57203 With DD/MU assistance $21,000 0.7
utilize. Assessment
Center technique to
identify future leaders/
managers in one office
(division in the DDO)
of each Directorate
Outputs V Customers/Recipients
Outputs are assessments performed; tests administered,
scored, interpreted and reported; employees counseled; consul-
tation provided; studies carried out; research performed;
lectures and training programs presented. Customers are
Agency employees and managers at all levels.
The processing of test results to generate reports is,
in certain aspects, susceptible to productivity measurement.
Study of these aspects has led to the conclusion that pro-
ductivity can be enhanced, with better quality control, by
the development of a computerized test interpretation and
reporting system. Such development is underway, and is treated
as an MBO objective scheduled through FY 75.
S 111. CR3 E T
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Resource Package Name Operations Division
EXHIBIT C7
Reasons for Significant Changes in Resource Levels
A. FY 75 compared with FY 74:
Decrease of one (.l) staff position, Medical Service
Specialist, GS-11 (Pos. No. 0099, $16,000)
25X1
0
is necessary because of the reduction in the
OMS personnel authorization in FY 75.
B. FY 76 compared with FY 75:
None
Reprogramming of FY 75 Congressional Budget
Consequences of 10% Reduction in Resources Requested for FY 75
A. Ceiling
Reduction of one (1) position would require deletion
of the one Contract Employee authorized since. the staff
cadre could not be cut further beyond the FY 75 cut
already projected.
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B . Funds
10% funds reduction could not be effected without
further cut of staff personnel since essentially all of
the $150,000 funds allocated for OD for FY 75 are for
such services. The deletion of the Contract Employee
mentioned in A above would account for a $6,000 reduction.
Consequences of 10% Reduction in Resources Requested for FY 76
A. Ceiling
Same as FY 75 above
B. Funds
Same as FY 75 above
E( R
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Resource Package No. 8
EXHIBIT A
8
Identification
Package Name Field Support Staff
Directorate M&S Component OMS
Organizational Unit Field Support Staff
Overall mission of the Field Support Staff (FSS) is to es-
Purpose and Description of Activity
tablish and direct the
The one activity is as follows:
Sub-activities under this include:
Central management of the field program, including
Direction
professional and technical guidance
Operation of the OMS cable and dispatch secretariat.
Coordination of all OMS support activities directed
to Agency field elements.
Direction and coordination of medical evacuations.
Liaison with other Federal agencies engaged in
overseas activities.
Relevant 01bjectives (DCI and DD Only) for FY 75/76
None
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OUtPULs CUStoIII t:i's/ Reeij)ie1ttS
Output is professional medical guidance and assistance
to Agency field activities, to include professional direction
of Agency medical personnel in the field (e.g., Regional
Medical Officers).
This activity is normally not readily susceptible to pro-
ductivity measurement. During FY 74, however, a statistical
study has been undertaken by the FSS concerning the incidence
of significant illness reported from Agency activities over-
seas. It is possible that this study, when fully developed,
will provide certain indications of the effectiveness of
health care overseas.
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EXHIBIT C8
Resource Package Name Field Support Staff
Reasons for Significant Changes in Resource Levels
A. FY 75 compared with FY 74:
None
B. FY 76 compared with FY 75:
$10,000 increase in travel funds is projected to
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permit Regional Medical Officers
to return TDY to the U. S. for short refresher professional
training courses at seminars/meetings to be selected
specifically for each RMO involved. This modest investment
is indicated to help these medical officers maintain their
professional currency.
Reprogramming of FY 75 Congressional Budget
Consequences of 10% Reduction in Resources Requested for FY 75
A. Ceiling
The 3 employee FSS staff could not sustain a 10%
reduction.
B. Funds
Could not be sustained since all FSS funds are for
the ti staff employees.
S R
C EI
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Consequences of 10% Reduction in Resources Requested for FY 76
A. Ceiling
Not possible (cf FY 75 above)
B. Funds
$10,000 funds reduction could only be effected by
deleting the similar amount requested in FY 76 for the
refresher training of RMO's. This would be an inappropriate
reduction.
Advantages of Increasing Resources in FY 75
The $10,000 increase in travel funds for RM0 refresher
training is a very worthwhile activity and its provision in
FY 75 would be a prudent investment. .
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II. Interrelationships of the Resource Packages
The eight (8) resource packages of the ONIS are closely
related activities. They may perhaps be best viewed as
three major groupings: (1) Professional Medical Services
(CD, SPD, PS and PSS),
COD and FSS), and Management Support (O/DMS and' SD) . This,
in fact, is how they are accounted for in the official
Agency program structure, withth.e OMS itself, of course,
a sub-caegory of the Program Wide Category. No OMS element,
with the possible exception of the PSS, could operate
without the other elements, e.g., the CD and the PS are
dependent on the Registrar Branch of the SD for the
administrative support necessary for record maintenance
and for issuance of dispositions following medical
evaluations by those two professional elements.
The numerous personnel cuts of the past few years have
tended to increase the mutual interdependency of the OMS
elements, e.g., during the last four years as SPD lost 30%
of its staff positions it has come to depend on the CD for
backup personnel support.
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III. Relative Priority of the 10% Decremental Changes
The OMS personnel authorization cannot be further reduced
without serious consequences for the Agency medical program.
In compliance with the instructions for this Program Call,
however, the 10% decremental changes outlined in the several
resource packages are ordered as follows for FY 1975 and
FY 1976 (by OMS element and resource
the lesser priorities listed first:
FY 1975
PSS (No. 6)
OD (No. 7)
SPD (No. 3)
PS (No. 5)
O/DMS (No. 1)
SD (No. 2)
CD (No. 4)
package number)
FY 1976
FSS (No. 8)
PSS (No. 6)
OD (No. 7)
SPD (No. 3)
PS (No. 5)
O/DMS (No. 1)
SD (No. 2)
CD (No. 4)
with
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IV Suggested Priorities for Increases for
Unprogrammed Activities
Increases for unprogrammed activities are included
only for FY 1975 in this Program Submission. These are
ordered as follows with higher priorities listed first:
1. Contract Employees (4):
Support Division (2) $15,500
Psychiatric Staff (1) 13,000
Psychological Services Staff(1) 5,500
2. Regional Medical Officer Travel
for Refresher Training (FSS) $10,000
3. Rental for Xerography (SPD) $ 7,000
TOTALS: 4 Contract Positions and $51,000
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